A Continuous Suture Anastomosis Outperforms a Simple Interrupted Suture Anastomosis in Esophageal Elongation

Christina Oetzmann von Sochaczewski; Evangelos Tagkalos; Andreas Lindner; Hauke Lang; Axel Heimann; Oliver J. Muensterer

doi:10.1055/s-0040-1710025

journal article May 18, 2020

A Continuous Suture Anastomosis Outperforms a Simple Interrupted Suture Anastomosis in Esophageal Elongation

Christina Oetzmann von Sochaczewski

Evangelos Tagkalos Andreas Lindner Hauke Lang Axel Heimann Oliver J. Muensterer

European Journal of Pediatric Surgery Vol. 31 No. 02 pp. 177-181 · Georg Thieme Verlag KG

View at Publisher Save 10.1055/s-0040-1710025

Abstract

Abstract
Introduction Long-gap esophageal atresia represents a distinct entity among the esophageal atresia spectrum. In many patients, achieving a reasonable anastomosis depends on some millimeters of tissue. We aimed to determine what effect the suturing technique would have on esophageal ex vivo elongation as it may determine the strength of a primary anastomosis.
Materials and Methods In an analysis of porcine esophagi from animals for slaughter (100–120 days old with a weight of 100–120 kg), we determined esophageal length gain of simple continuous and simple interrupted suture anastomoses subjected to linear traction until linear breaking strength was reached. Statistical power of 80% was ensured based on an a priori power analysis using five specimens per group in a separate exploratory experiment.
Results The simple continuous suture anastomosis in 15 porcine esophagi (

= 4.47 cm, 95% confidence interval: 4.08–4.74 cm) outperformed the simple interrupted suture anastomosis in another 15 esophagi (

= 3.03 cm, 95% confidence interval: 2.59–3.43 cm) in length gain (Δ = 1.44 cm, 95% confidence interval: 0.87–2.01 cm, p < 0.0001).
Conclusion Simple continuous anastomoses achieved higher length gain compared with simple interrupted suture anastomoses. This effect warrants an experimental assessment in vivo to assess its potential merits for clinical applicability.

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Details

Published: May 18, 2020
Vol/Issue: 31(02)
Pages: 177-181

Authors

C

Christina Oetzmann von Sochaczewski

Department of Pediatric Surgery, Universitätsmedizin der Johannes-Gutenberg-Universität, Mainz, Germany

E

Evangelos Tagkalos

Department of General, Visceral and Transplant Surgery, Universitätsmedizin der Johannes-Gutenberg-Universität, Mainz, Germany

A

Andreas Lindner

Department of Pediatric Surgery, Universitätsmedizin der Johannes-Gutenberg-Universität, Mainz, Germany

H

Hauke Lang

Department of General, Visceral and Transplant Surgery, Universitätsmedizin der Johannes-Gutenberg-Universität, Mainz, Germany

A

Axel Heimann

Institute for Neurosurgical Pathophysiology, Universitätsmedizin der Johannes-Gutenberg-Universität, Mainz, Germany

O

Oliver J. Muensterer

Department of Pediatric Surgery, Universitätsmedizin der Johannes-Gutenberg-Universität, Mainz, Germany

Cite This Article

Christina Oetzmann von Sochaczewski, Evangelos Tagkalos, Andreas Lindner, et al. (2020). A Continuous Suture Anastomosis Outperforms a Simple Interrupted Suture Anastomosis in Esophageal Elongation. European Journal of Pediatric Surgery, 31(02), 177-181. https://doi.org/10.1055/s-0040-1710025

A Continuous Suture Anastomosis Outperforms a Simple Interrupted Suture Anastomosis in Esophageal Elongation

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